42716 C1440F SAN JOSE Stelling BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No.:2.1...1_1..... Lot No. ._I "
Date--f-P.- ----I_U.........:......... -------- 19_6_3 Permit No. ..............
Application is hereby made for a permit to
a---- --)------.story, Type—J�.,eLA4—-----kaz .... ---—-------------- --- - --z- Building
se Zone Al-----------
at
Occupancy -------
to be occupied only as IA-- I k g Space ......1,----------
in
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in accordance with Plans, Specifications an;tpld W-A&ZI
Estimated Value of Improvements, $-------)-*—_0_---.............
It is hereby agreed that the requirerne-t, of the Sa'n Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of San Jose, will be
complied with.
I certify that in the performance of the work for which this permit is issued I shall not employ any per-
son in any manner so as to violate the Xorkmen's compensation laws of California.
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Owner -----��'!rV�JL�VAcldress zz:�
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Address -------- ---- ------------------------- .......
Contractor
BYAJ.at----------- ------ ------ ------ -------------
Form 2BO-1 1144 So. Stelling Rd. Mary A. Thrasher
RECORD OF INSPECTION
Foundation --------- ------ ----- ------- I----- -----
Frame ...... -------------- ---------------
StuccO -'- ----------------------- -------- ----- ----------------- Finish -------